Pain at the back of the ankle is usually related to the achilles tendon and comes on gradually over time. A sudden onset or acute achilles tendon injury may be a partial or even complete rupture of the achilles tendon which needs urgent medical assistance. Thompson's squeeze test can be done to rule out a complete achilles tendon rupture. More commonly achilles tendonitis or similar injuries tend to occur over time.
Achilles tendonitis (also known as Achilles tendinopathy or Achilles tendinosis) is an overuse injury causing pain, inflammation and or degeneration of the achilles tendon at the back of the ankle.
A total rupture of the Achilles tendon is a complete tear of the tendon and typically affects men over the age of 40 involved in recreational sport.
Achilles tendon bursitis, also known as Retrocalcaneal bursitis is a common foot pain in athletes, particularly runners. It can often be mistaken for Achilles tendonitis or can also occur in conjunction with Achilles tendonitis.
Achilles tenosynovitis is an inflammatory condition of the sheath or layer surrounding the Achilles tendon. It is sometimes also known as paratenonitis.
Insertional Achilles Tendonitis is an inflammatory reaction to the tendon where it inserts into the heelbone. This can be either acute or chronic and is associated with pain and sometimes swelling.
The tendon is encased in a sheath and the space in between this is called the paratenon, which becomes inflamed when there is insertional Achilles tendonitis especially where it attaches into the calcaneum (heel).
A partial Achilles tendon rupture can occur in athletes from all sports but particularly running, jumping, throwing and racket sport
When retrocalcaneus bursitis exists at the same time as Achilles tendonitis in the same leg, this is known as Haglund's Syndrome. We explain the symptoms and possible treatment options available.